Provider First Line Business Practice Location Address:
5251-37 JOHN TYLER HWY
Provider Second Line Business Practice Location Address:
PLT'S ABA WELLNESS CLINIC
Provider Business Practice Location Address City Name:
WILLIAMSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-846-6959
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2007